DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ramos, Harry Jacob	DOIID	867899	NAIC NPN	17143467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	2/5/2015		9/30/2025
Active	Non Resident	Independent Adjuster	Workers' Compensation	2/5/2015		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	07/15/2025	09/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	10/15/2021
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	10/15/2021